Individual provider Active NPI

Angela Renee Vargas-Avendano, LMSW

  • Clinical Social Worker
  • Newaygo, MI
National Provider Identifier
1669801684
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088556 Issued in MI
Practice address
130 W Wood St
Newaygo, MI 49337-8991
Phone
(231) 206-6519
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Angela Vargas-Avendano MSW PLC 2 clinicians

Practice addresses (Care Compare)

130 W Wood St
Newaygo, MI 49337-8991
Phone (231) 206-6519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809003605 MI Practitioner - Clinical Social Worker 0446521439 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Vargas-Avendano MSW PLC Clinical CurrentSince Jul 3, 2017 Accepting new patients
Newaygo County Mental Health Board CurrentSince Jul 6, 2019 Accepting new patients
Newaygo County Mental Health Board CurrentSince Jul 6, 2019 Accepting new patients
Jennifer Braman MSW PLC Clinical PastSince Aug 1, 2019 Accepting new patients

Locations

52 S Main St
Ste B
Kent City, MI 49330
Phone (231) 206-6519

130 W Wood St
Newaygo, MI 49337
Phone (231) 206-6159

40 W State Rd
Ste A
Newaygo, MI 49337
Phone (231) 942-4673

1049 E Newell St
White Cloud, MI 49349
Phone (231) 689-7300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088556 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

130 W Wood St
Newaygo, MI 49337-8991

Mailing address

PO Box 10
Mason, MI 48854-0010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2019.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1669801684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WOOD ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378991",
            "telephone_number": "231-206-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-AVENDANO",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

Verify at the official NPI Registry.